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Naltrexone Hcl

Naltrexone HCl 50MG

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What is Naltrexone Hcl?

Naltrexone HCl is an opioid antagonist primarily used in the management of alcohol dependence and opioid addiction. It works by blocking the euphoric effects and feelings of intoxication, helping to prevent relapse. Naltrexone is typically prescribed in a daily oral dose and can also be administered as a monthly injection.

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What is Naltrexone Hcl ?

Naltrexone HCl is an opioid antagonist primarily used in the management of alcohol dependence and opioid addiction. It works by blocking the euphoric effects and feelings of intoxication, helping to prevent relapse. Naltrexone is typically prescribed in a daily oral dose and can also be administered as a monthly injection.
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Anxiety, confusion, depression, or unusual thoughts and behaviors
  • Dark urine or pale stools, nausea, vomiting, loss of appetite, stomach pain, or yellow skin or eyes
  • Trouble sleeping, getting upset easily, a big increase in energy, or reckless behavior
  • This medicine may make you dizzy or drowsy. Do not drive or do anything else that could be dangerous until you know how this medicine affects you.
  • Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
  • Tell your doctor if you are pregnant, planning to become pregnant, or breastfeeding, or if you have kidney disease, liver disease (including hepatitis B or C, cirrhosis), or a history of depression or mental illness.
  • You have a higher risk of accidental overdose, serious injury, or death if you use heroin or any other narcotic medicine while you are being treated with naltrexone. Also, naltrexone prevents you from feeling the effects of heroin if you use it.
  • This medicine may increase thoughts of suicide. Tell your doctor right away if you start to feel depressed or have thoughts about hurting yourself.
  • This medicine may cause liver problems.
  • Tell your doctor and all other caregivers that you are taking naltrexone. You may need to carry a card to let others know you are taking this medicine if you have a medical emergency. Ask your doctor about this.
What is naltrexone hydrochloride used for?
Naltrexone hydrochloride is FDA-approved for two uses: treating alcohol dependence, and blocking the effects of opioids as part of a comprehensive treatment program for opioid dependence after a patient has completed detox. It's meant to be used alongside counseling or other support, not as a standalone treatment.
Is naltrexone the same as Vivitrol?
No. They're related but distinct. Vivitrol is a brand-name extended-release injectable suspension of naltrexone, given monthly by a provider and made by Alkermes. Naltrexone HCl is an oral tablet taken regularly, and it's now available only as a generic since the original tablet brands, ReVia and Depade, were discontinued.
Can you drink alcohol while taking naltrexone?
Naltrexone HCl is one of the FDA-approved medications for treating alcohol dependence, meant to help people reduce or stop drinking as part of a treatment program that also includes counseling. It isn't intended for patients who are still actively drinking heavily. Ask your provider for guidance specific to your situation.
What is the difference between naltrexone and naloxone?
Both are opioid antagonists, but they're used differently. Naloxone is used for fast-acting emergency reversal of an opioid overdose. Naltrexone is taken regularly, as part of an ongoing treatment program, to help block opioid effects or treat alcohol dependence, not as an emergency medication.
How long do you have to be opioid-free before starting naltrexone?
For opioid dependence treatment, patients typically need to be opioid-free for at least 7 to 10 days before starting naltrexone, and longer for those coming off methadone. Starting too soon can precipitate sudden, severe opioid withdrawal. Your provider will guide the timing based on your situation.
How much does Naltrexone Hcl cost without insurance?
The price of Naltrexone Hcl without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you.
What are the common side effects of Naltrexone Hcl?
Common side effects of Naltrexone Hcl may include: Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing, Anxiety, confusion, depression, or unusual thoughts and behaviors, Dark urine or pale stools, nausea, vomiting, loss of appetite, stomach pain, or yellow skin or eyes, Trouble sleeping, getting upset easily, a big increase in energy, or reckless behavior. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Naltrexone Hcl?
Generic versions may be available for Naltrexone Hcl. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Naltrexone Hcl on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Naltrexone Hcl?
The cheapest pharmacy for Naltrexone Hcl depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Naltrexone Hcl near you.

Naltrexone Hcl Coupons & Prices

Naltrexone HCl 50MG

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Naltrexone Hcl Tablet — prescription drug image
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Naltrexone Hcl 50mg (15)
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Looking for a naltrexone HCl coupon? Naltrexone hydrochloride is an opioid antagonist available only as a generic tablet (the original brand names, ReVia and Depade, have both been discontinued in the US), and pharmacy cash prices for this generic can vary widely from one drugstore to the next. Rx.com compares prices across more than 60,000 U.S. pharmacies so you can find where naltrexone HCl costs less near you: enter your ZIP code above to see today's price.

What Is Naltrexone HCl and How Does It Work?

Naltrexone hydrochloride is an opioid antagonist, meaning it blocks opioid receptors in the body rather than activating them. It's FDA-approved for two uses: treatment of alcohol dependence, and blocking the effects of opioids as part of a comprehensive treatment program for opioid dependence after a patient has completed detoxification. In both cases, naltrexone is meant to be used alongside counseling or other psychosocial support, not as a standalone treatment, and it isn't intended for patients who are still actively drinking heavily or using opioids or street drugs.

The original brand-name tablets, ReVia and Depade, have both been discontinued in the US, so naltrexone HCl is now available only as a generic tablet. It's a different product from Vivitrol, a distinct extended-release injectable suspension of naltrexone that remains a brand-name product.

Naltrexone HCl Cost Without Insurance

Because naltrexone HCl is generic, the cash price can differ significantly from one pharmacy to the next, even within the same city, so it's worth comparing rather than assuming the first pharmacy you check has the best price. Rx.com checks pricing across more than 60,000 U.S. pharmacies, so you can see which ones offer naltrexone HCl for less: enter your ZIP code above to compare today's prices near you.

Naltrexone vs. Vivitrol and Other Treatment Options

Naltrexone HCl tablets and Vivitrol both contain naltrexone, but they aren't interchangeable: Vivitrol is a monthly extended-release injection given by a provider, while naltrexone HCl is a tablet taken by mouth, and each has its own prescription and dosing schedule.

For alcohol dependence, other FDA-approved medication options include acamprosate and disulfiram, which work differently than naltrexone and may suit patients who can't take an opioid antagonist. For opioid dependence, your provider may also discuss buprenorphine or Suboxone (a buprenorphine/naloxone combination), which work as partial opioid agonists rather than a full antagonist like naltrexone. Naloxone is a related opioid antagonist but is used differently: for emergency reversal of an opioid overdose, not for ongoing treatment.

Naltrexone HCl Safety Information

Naltrexone carries a boxed warning: at doses higher than recommended, it has been associated with liver injury, and it's contraindicated in patients with acute hepatitis or liver failure. Your provider may order liver function tests before and during treatment.

  • If you're being treated for opioid dependence, you typically need to be opioid-free for at least 7 to 10 days before starting naltrexone, longer if you were taking methadone; starting too soon can trigger sudden, severe opioid withdrawal.
  • Naltrexone will also block the pain-relieving effect of opioid pain medications, so tell any provider treating you for pain that you're taking it.
  • After a period on naltrexone, your tolerance to opioids goes down. If you stop naltrexone and later use opioids at doses you were used to before, it can cause a life-threatening overdose.
  • Naltrexone itself is not a controlled substance and has no abuse potential.

This is general information, not medical advice. Talk with your provider about whether naltrexone is right for you and how it fits with any other medications you take.

Sources & accuracy

This Naltrexone Hcl information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Naltrexone Hcl on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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Medical disclaimer: This information is provided for general educational purposes only and is not medical advice. It is not a substitute for professional diagnosis or treatment. Always consult a licensed physician, pharmacist, or other qualified healthcare provider before starting, stopping, or changing any medication or treatment. Never disregard professional medical advice or delay seeking it because of something you read here. If you think you may have a medical emergency, call your doctor or 911 immediately.


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